Chapter 20-26 – Flashcards
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Senescence
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A gradual physical decline related to aging
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Causes of brain loss before age 65
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-Drive abuse- alcohol abuse can cause Wernicke-Korsakoff disease -Poor circulation- impaired blood flow such as hypertension and cigarette smoke -Viruses- HIV and prion that cause mad cow disease destroy neuron -Genes- 1 in 1000 inherit a dominant gene for dementia
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Outward appearance
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-collagen decreases by 1% per year -by age 30 skin is becoming thinner and less flexible; wrinkles become visible - by age 60 all faces are wrinkled
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Vision
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Declines once we start getting older
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Infertility Male
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Common reason: low sperm count Anything that impairs the body over a 75 day period and reduces sperm count shape and motility (activity) like fever, radiation, prescription drugs, drug abusers, alcoholism cigarette smoking
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Infertility Female
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Anything hat impairs physical functioning- like certain diseases smoking extreme dieting and obesity- pelvic inflammatory disease (PID) that scars tissue and blocks Fallopian tubes preventing sorry from reaching ovum
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Infertility teatments
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Assisted reproductive technology (ART) overcomes obstacles such as low sperm count and blocked Fallopian tubes - in vitro fertilization (IVF) is one ART procedure that involves the help of donor sperm, ova, and wombs to help the partner that is infertile or a person with no partner if the other sex
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Andropause
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A term coined to signify a drop in testosterone levels in older men which normally results in reduced sexual desire, erections, and muscle mass (also called male menopause) age 50
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Menopause
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The time in middle age usually around age 50 when a woman's menstrual periods cease and the production of estrogen progesterone and testosterone drops strictly speaking menopause is dated one year after a woman's last menstrual period although many months before or after that date are menopausal
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Mortality
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Death usually refers to the number of deaths each year per 1000 members of a give. Population
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Morbidity
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Disease usually refers to the rate of disease in a given population-physical and emotional, acute (sudden) and chronic (ongoing)
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Disability
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Difficulty in performing normal activities of daily life
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Vitality
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A measure of health that refers to how healthy and energetic an individual actually feels
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DALY: disability adjusted life years
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70 years old X 10% reduced function = 64 DALYs they measure the reduced quality of life caused by disability
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QALY: quality adjusted life years
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70 years X 100% vitality = 70 QALY- calculates compare mere survival without vitality to survival with good health a full year of health us a full QALY people with less than full health have a fraction of QALY each year thus their total QALY is less than the total years they live by
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Seattle longitudinal study
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The first cross-sequential study of adult intelligence (began in 1956 most recent in 2005)
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Cross-sectional research
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A research design that compares groups of people who differ in age but slate similar in other important characteristics
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Cross-sequential research
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A hybrid research design in which researchers first study several groups of people of different ages (a cross/sequential approach) and then follow those groups over the years ( a longitudinal approach)
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Longitudinal research
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A research design in which the same individuals are followed over time and their development is repeatedly assessed
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Avoidant coping
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A method of responding to a stressor by ignoring forgetting or bidding it
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Problem-focusing coping
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A strategy to deal with stress by tackling a stressful situation directly
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Emotion-focus coping
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A strategy to deal with stress by changing feelings about the stressor rather than changing the stressor itself
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Weathering
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The gradual accumulation of stressors over a long period of time wearing down a persons resilience and resistance
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Fluid intelligence
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They types of basic intelligence that make learning quick and thorough l. Includes abilities such as short term memory, abstract thought and speed of thinking
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Crystallized intelligence
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The types of intellectual ability that reflect accumulated learning vocabulary and general information are examples
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Creative intelligence
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A form of intelligence that involves the capacity to be intellectually flexible and innovative
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Analytical intelligence
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A form of intelligence that involves such a mental processes as abstract planning, strategy selection, focused attention and information processing as well as verbal and logical skills
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Practical intelligence
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The intellectual skills used everyday problem solving
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Avoidant coping
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A method of responding to a stressor by ignoring, forgetting, or hiding it
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Problem-focused coping
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A strategy to deal with stress by tackling a stressful situation directly
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Emotion-focused coping
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A strategy to deal with stress by changing feelings about the stressor rather than changing the stressor itself (use by females mostly)
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Weathering
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The gradual accumulation of stressors over a long period of time wearing down a persons resilience and resistance
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Selective optimization with compensation
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The theory that people try to maintain a balance in their lives by looking for the best way to compensate for physical and cognitive losses and to become more proficient in activities they can already do well (multitasking)
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Expert cognition
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Intuitive- during surgery people who are outsiders doesn't know how to fix a certain problem a surgeon will know how to cut and know what procedure to do Automatic- experts process incoming information more quickly and analyze it more efficiently than do nonexperts and then act in a well rehearsed way that makes their efforts appear unconscious Flexible- due to intuitive automatic strategic thinking experts are also more flexible deliberately experimenting and enjoying new challenges when things to do not go according to plan Stage tic- experts have more and better strategies especially when problems are unexpected
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Mas lows hierarchy of needs
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1. Physiology- need to satisfy hunger and thirst 2. Safety- need to feel that the world is organized and predictable need to feel safe secure and stable 3. Love and belonging- need to love and be loved to belong and be accepted need to avoid loneliness 4. Success and esteem- need for self esteem achievement, competence and independence need for recognition and respect from others 5. Self-actualization- need to live up to ones fullest and unique potential
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Big five
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The five basic clusters of personality traits that remain quite stable throughout adulthood -openness-closed: imaginative curious artistic open to new experiences -Conscientiousness-careless: organized deliberate conforming self-disciplined -extroversion- introversion: outgoing assertive active -agreeableness- hard to please: kind helpful easygoing generous Neuroticism- placid: moody self punishment critical
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Empty nest
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The time in the lives of parents when their children have left the family home to pursue their own lives
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Marital happiness over the years
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Interval after wedding- characterization First 6 months- honeymoon period-happiest of all 6 months-5 years- happiness dips; divorce is common, usual time for birth of first child 5-10 years- happiness holds steady 10-20 years- happiness dips as children reach puberty 20-30 years- happiness rises when children leave the nest 30-50 years- happiness is high and steady barring serious health problems
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Before marriage
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Divorced parents either partner is under 22 Family opposed Cohabitation before marriage Previous divorce of either partner Large discrepancy in age background interests values (heterogamy)
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During marriage
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Divergent plans and practices regarding childbearing and child rearing Financial stress, unemployment Substance abuse Communication difficulties Lack of time together Emotional or physical abuse Relationship is not supported
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After marriage
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High divorce rate in cohort Weak religious values Laws that make divorce easier Approval of marriage Acceptance of single parenthood
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Familism
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The belief that family members should support one another sacrificing individual freedom and success if necessary in order to preserve family unity
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Amicable (family bond)
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Close relationship with adult child gets along wells high communication
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Detached
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Distant relationship with adult child low in communication
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Disharmonious
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Conflict in relationship with adult child critical arguing
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Ambivalent
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Both close and critical relationships with adult child high on communication
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Kinkeeper
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A caregiver who takes responsibility for maintaining communication among family members
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Caring for biological children
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Labor- intensive expression of generativity Transformative experience with more costs than benefits when children are young
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Caregiving nonbiological children
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About 1/3 if all North American adults become step parents adoptive parents or Forster parents
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Caregiving ages parents
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The "sandwich generation" is the generation of middle aged people who are supposedly squeezed by the needs of the younger and older members of their families
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Ageism
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A prejudice whereby people are categorized and judged solely in the basis of their chronological age
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Gerontology
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The multidisciplinary study of old age
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Geriatrics
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The medical specialty devoted to aging
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Demographic shift
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Shift in proportion of the populations of various ages
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Centenarian
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A person who has lived 100 years or more
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Young old
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Healthy vigorous financially secure older adults (generally those adults 60-75) who are well integrated into the lives of their families and communities
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Old-old
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Older adults (generally those over 75) who suffer from physical mental or social deficits
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Oldest-old
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Elderly adults (generally those over 85) who are dependent on others for almost everything requiring supportive services such as nursing homes and hospital stays
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Primary aging
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The universal and irreversible physical changes that occur to all living creatures as they grow older
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Secondary
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The specific physical illnesses or conditions that become more common with aging
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Cataracts
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A thickening of the lens causing vision to become cloudy opaque and distorted can be removed in outpatient surgery and replaced with an artificial lens
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Glaucoma
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A buildup of fluid within the eye that damages the optic nerve ; early stages have no symptoms but later stages cause blindness that can be prevented if condition is diagnosed and treated early enough
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Macular degeneration
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A deterioration of the retina early warning is vision that becomes spotty (e.g., some letters missing when reading) early treatment (medication) can restore some vision but this condition is progressive and causes blindness about 5 years after it starts
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Compression of morbidity
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A shortening of the time a person spends ill or infirm accomplished by postponing illness
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Cellular accidents
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Oxygen free radicals: atoms of oxygen that as a result of metabolic processes have an unpaired electron these atoms scramble DNA molecules or mitochondria producing errors in cell maintenance and repair that over time may cause cancer diabetes and arteriosclerosis
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The immune system
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B cells : immune cells manufactured in the bone Marrow that create antibodies for isolating and destroying bacteria and viruses that invade the body T cells: immune cells manufactured in the thymus gland that produce substances that attack infected cells in the body
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End of replication
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Hayflick limit: suggests that human cells are capable of duplicating into two new cells approximately 50 times indicating that the life span may be limited by our genetic program Telomeres: the ends of chromosomes in the cells their length decreases with each cell duplication and seems to correlate with longevity
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Chapter 24
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Late adulthood
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Control processes
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The part of the information-processing system that regulates the analysis and flow of information (aw we age the control process decreases hard time remembering information )
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Dementia
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Irreversible loss of intellectual functioning caused by organic brain damage or disease (statistics make it seem like "4million" people have dementia and is not true)
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Alzheimer's disease (AD)
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The most common cause of dementia (sometimes called senile dementia of the alzheimer type)
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Stage 1
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Forget recent events Forget information names of people and places
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Stage 2
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Generalized confusion Deficits in concentration and short term memory Speech is repetitive
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Stage 3
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Memory loss becomes dangerous causing accidents or the person goes missing
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Stage 4
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Full time care is needed since they can't care for themselves Communication not clear
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Stage 5
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Personality is gone Unresponsive
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Vascular dementia (VaD)
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A form of dementia characterized by sporadic and progressive loss of intellectual functioning (intense loss of cognition slight improvement and then another intense loss common for people in their 90s )
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Frontal lobe dementia
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Deterioration of the Amygdala and frontal lobes that may be the cause of the 15 percent of all dementias (also called frontotemporal lobar degeneration)
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Parkinson's disease
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A chronic progressive disease that is characterized by muscle tremor and rigidity and sometimes dementia caused by the reduction of dopamine production in the brain
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Lewy body dementia
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A form of dementia characterized by an increase in Lewy body cells in the brain symptoms include visual hallucinations momentary loss of attention falling and fainting
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Some other dementias
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Before age 65 people experience dementia due to Huntington's disease multiple sclerosis severe head injury the last stages of syphilis AIDS and bovine spongiform encephalitis (BSE or mad cow disease) timing and symptoms of each kind vary
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Polypharmacy
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A situation in which elderly people are prescribed several medications and the various side effects and interactions can result in dementia symptoms
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Life review
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An examination of ones own role in the history of human life engaged in by many elderly people (older people look back on their life and will either be happy about their life or not Erikson's last stage) 70+
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Grandparents fulfill 1/4 roles
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1) remote grandparents- (aka distant) 2.) companionate grandparents fun loving grandparents always go and support you not to over bearing 3.) involved grandparents overly involved in your life always calling can have negative aspects on parents 4.) surrogate grandparents parents to the children mom or dad decides to step out of child's life and grandparents step in and take care of the
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Self theories
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Theories of late adulthood that emphasize the core self or the search to maintain ones integrity and identity
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Positivity effect
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The tendency for elderly people to perceive prefer and remember positive images and experiences more than negative ones
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Stratification theories
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Theories that emphasize that social forces particularly those related to a persons social stratum or social category limit individual choices and affect a persons ability to function in late adulthood because past stratification continues to limit life in various ways (Criticism)
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Dynamic systems theory
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A view of human development as an ongoing ever changing interaction between the physical and emotional being and between the person and every aspect of his or her environment including the family and society
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Elderhostel
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An education travel program that offers people (55 and older) special learning experiences at universities and other locations across the United States and around the world
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AARP
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A U.S. Organization of people aged 50 and older that advocates for the elderly
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family watch dogs (grandparents) involved grandparents
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A basic role of grandparents which involves monitoring the younger family's well being and intervening to provide help in a crisis
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Frail elderly
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People over age 65 and often over age 85 who are physically infirm very ill or cognitively disabled
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Activities of daily life ADLS
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Eating, bathing, toile ting, dressing and transferring from bed to chair the inability to do those take us a sign of frailty
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Instrumental activities of daily life (IADLS)
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Actions for example paying bills and driving a car that are important to independent living and that require some intellectual competence and forethought the ability to preform these tasks may be even more critical to self sufficiency than ADL ability
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Aging in place
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Remaining in the same home and community in later life adjusting but not leaving when health fades
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Assisted living
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A living arrangement for elderly people that combines privacy and independence with medical supervision
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Thanatology
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Study of death and dying especially the social and emotional aspects (hope for the after life) It reveals the reality of hope in death
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How death has hanged in past 100 years
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Death occurs later Dying takes longer Death often occurs in hospitals Causes of death have changed And after it is unclear
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Death In Childhood
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Children's different perspective of death are punctuated with impulsivity - may seem happy one day and sad the next do not "get over" the death of a parent not dwell on it may take certain explanations literally Fatally ill children typically fear abandonment frequent and caring contact us more important that logic Older children seek specific facts and become less anxious about death and dying
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Adolescence and emerging adulthood
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Teenagers seem to have little fear of death take risks place high value in appearance and seek thrills
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Terror management theory TMT
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The idea that people adopt cultural values and moral principles in order to cope with their fear of death
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Death in adulthood
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When adults become responsible for work and family death is to be avoided or at least postponed Death anxiety usually increases from ones teens to ones 20s and then gradually decreases Ages 25-60 terminally ill adults worry about leaving something undone or leaving family members especially children alone
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Death in late adulthood
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Death anxiety decrease and hope rises Many older adults accept death and plan Family becomes more important when death seems near Acceptance of death does not mean that the elderly give up on living (legacy vocab in book)
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Near death experience
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Episode in which a person comes close to dying but survives and reports having left his or her body and having moved toward a bright white light while feeling peacefulness and joy Often include religious elements Survivors often adopt a more spiritual less materialistic view of life
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Kübler Ross
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Identified emotions experienced by dying people which she divided into 5 stages 1) denial (I am not really dying) 2.) anger ( I blame my doctors or my family or God for my death) 3.) bargaining- ( I will be good from now on if u can live) 4.) depression (I don't care about anything nothing matters anymore) 5.) acceptance (I accept my death as part of life)
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Hospice
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An institution or program in which terminally ill patients receive palliative care to reduce suffering
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Palliative care
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Care designed not to treat an illness but to provide physical and emotional comfort to the patient
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Complicated grief
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A type of grief that impedes a persons future life usually because the person clings to sorrow or is buffeted by contradictory emotions
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Absent grief
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A situation in which mourners do not grieve either because other people do not allow grief to be expressed it because the mourners do not allow themselves to feel sad
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Incomplete grief
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A situation in which circumstances such as a police investigation or an autopsy integer with the process of grieving
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Disenfranchised grief
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A situation in which certain people although they are bereaved are prevented from mourning publicly by cultural customs or social restrictions
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Mourning
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Public and ritualistic expression of bereavement the ceremonies and behaviors that a religion or culture prescribes to honor the dead help move person from grief to reaffirmation
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The slowing down if the brain in primary aging may be attributed to
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reduced production of acetylcholine & other neurotransmitters Decreases total volume of neural fluid Slower cerebral blood flow ALL IF THE ABOVE
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A common type of difficulty that older adults have due to brain shrinkage is that it interferes with
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Being able to multitask
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Information must cross what in order to be perceived?
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The sensory threshold
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Speed of cognition is crucial especially in
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Working memory
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The fact that older adults have difficulty gathering and considering all relevant information with which to make a decision can be explained by
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A shrinking prefrontal cortex
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Adult cognitive abilities begin around age 60 and there is a particularly notable decline in
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Spatial perception and processing speed
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Dementia that is more likely to be reversible can be related to all of the following EXCEPT
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Strokes (Over medication anxiety depression)
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Alzheimer disease is characterized by
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Multiple plaques and tangles in the hippocampus
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Erik Erikson was interested in the _____ if the elderly
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Perspective
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Wisdom seems to reflect
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An understanding of life
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Ageism is a form of prejudice in which people:
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Categorize and judge people only on the basis of their chronological age
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In general the ____or aged 65 to 75
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Young old
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When researchers used the grounded theory method to study sexual activity in the elder population they found that
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More respondents said their sex lives had improved then said it deteriorated It was more a social construction than a biological event Everyone reported less frequently having sex with age ALL OF THE ABOVE
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____ is a buildup of fluid within the eye that causes damage to the optic nerve
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Glaucoma
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Cardiovascular disease is ______ aging because it ______
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Secondary;may not be age related
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The compression of morbidity is
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A goal to achieve for all age groups
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They Hayflick limit refers to
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The # of times a human cell is capable of dividing
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The wear and tear theory is most likely applicable to
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Some body parts that wear are due to repeated stress or exposure to elements
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For humans the maximum life span is approximately ______ years
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122
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Pitskhrlauri found that long lived people share all of the following characteristics except
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A commitment to retirement from work (A belief that family and community are important Excercise and relaxation are part of their daily routine Diets consisting mostly of fresh fruits and veggies with little meat or fat)
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According to the text personality
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Is continuously developing Is a mixture of genes experience and context Can change ALL OF THE ABOVE
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_______is to easygoing as ______ is to moody
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Agreeableness; neuroticism
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A group of people who provide encouragement and guidance and meet ones social needs throughout life is called a
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Social convoy
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An "empty nest" is
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Often a happy time for a couple since they focus on each other
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Children of divorce
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Sometimes develop a stronger relationship with their custodial parent and that is beneficial for their future
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An adult expresses generativity by
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Caring for other such as young children
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According to Erikson the chief expression of adult generativity is
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Parenting
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____rewards of work are tangible rewards such as salary and ____ rewards of work are intangible rewards such as job satisfaction
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Extrinsic, intrinsic
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Work and productivity is important to all adults however ____ and ____ limits the psychological and physical benefits
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Working too many hours; not by choice
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A difference found in adult friendships is that
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Adult friendships are less problematic than are friendships earlier in lofe
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According to the text psychometric conclusions about adult intelligence
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Make it difficult to predict individual patterns
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Termans research focused on what population
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Child geniuses
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Intelligence is
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Multidirectional Multicultural Multicontexual ALL OF THE ABOVE
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What form of basic intelligence enables us to adapt and learn new things
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Fluid
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Which of the following forms of intelligence is needed to manage our daily lives?
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Practical
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Which of the following statements is true about intelligence and culture?
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They type of intelligence that is valued depends on the culture
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The kind of intelligence that is most valued depends on
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Age and culture
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Selective optimization with compensation
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Is a theory that proposes that we seek to compensate for losses by getting better at that which we already do well
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Maris 45 works as a waitress and is very popular with her customers because they know that they can count on her to serve them in good time when there is a rush this trait can best be related to Marias
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Use of strategies to compensate for some losses
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According to your text today more men are developing the expertise to ____
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Provide caregiving in the home
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Which of the following could contribute to severe brain loss in adulthood
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Drive abuse Poor circulation Genes ALL OF THEM
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Which of the following is true
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Sounds at higher frequencies are lost earlier than those at lower frequencies
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What organ system universally shows the effects of aging
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Respiratory
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Infertility is most common
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When medical care is scarce
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What is wrong with the term "andropause"
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It implies a sudden drop in and reproductive ability or hormone levels
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Which of the following illegal drug is the slowest to decline in use as people age
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Marijuana
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From a biological perspective would be mothers should try to conceive before age
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25
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Hank is very upset because he realizes that his alcohol use has resulted in poor job performance and his boss has threatened that he will be fired he decided he had to change so he told all of his friends that he was no longer drinking and joined alcoholics anonymous and has a sponsor which habit changing step is he currently involved in
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Implementation
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Morbidity____mortality
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Does not necessarily correlate with
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Vitality is affected more by ____ than by biology
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Personality
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All of the following are ways that death has changed in the past 100 years EXCEPT
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Fewer deaths occur in hospitals
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Why should adults speak to children openly about death and answer their questions simply and honestly
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When they see adults are not afraid they will be less anxious about death and dying
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In late adulthood accepting ones mortality
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Does not mean giving up on living
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A near death experience is often an occasion for
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Religious affirmation
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Hospital have made a bad death more likely because
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They have excluded visitors @ crucial times
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Which of the following refers to a deep state of unconsciousness from which the person cannot be atoused
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Coma
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____is considered a sign of mental health____ when people are terminally ill
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Acceptance of death; in late adulthood
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The purpose of ____ is to aid loved ones in moving beyond____
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Mourning;grief
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Murders and suicides often trigger police investigation that can interfere with the grieving process and lead to
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Incomplete grief
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Older adults who exhibited insecure avoidant attachments early in life may be more likely to experience
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Absent grief
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Elder abuse is probably under reported because
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There may be disagreement between the elder and caregiver on what is considered abuse
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Which statement is true about caregivers
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Designated caregivers are usually chosen because they have the most time and skill
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The best definition of the frail elderly are people
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Over the age of 85 who are infirm very ill or cognitively impaired
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Grandparents grace and don see their grandchildren daily because they help out with transportation to after school activity a they would be considered ____ grandparents
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Involved
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In general older couples have learned
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How to disagree
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The concept of "gray power" is used to
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Reduce support for programs to benefit the elderly
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Less than half of all adults if any age volunteer those who do not volunteer typically have more
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Social isolation
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The tendency for the elderly to perceive prefer and remember positive images and experiences more than negative ones is called
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Positivity effect
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Positivity effect is an example of
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Selective optimization with compensation
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Psychosocial development I. Late adulthood is best understood by looking at clusters of theories such as
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Self theories and stratification theories
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Compulsive hoarding
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The urge to accumulate and hold on to familiar objects becomes a health or safety hazard
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Socioemotional selectivity theory
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Older people prioritize regulation of their own emotions and seek familiar social contacts
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Activity theory
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The view that elderly people want and need to remain active in a variety of social spheres
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Naturally occurring retirement community NORC
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A neighborhood or apartment complex whose population is mostly retired people who moved to the location as you get adults and never left
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Filial responsibility
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Obligation of adult children to care for their aging parents
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Double effect
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A situation in which an action such as administering opiates has both a positive and negative effect reliving pain and hastening death by suppressing respiration
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Passive euthanasia
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Situation in which a seriously ill person is allowed to die naturally through the cessation of medical intervention
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Active euthanasia
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A situation in which someone takes action to bring about a other persons death with the intention of ending that persons suffering
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Advance directives
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Description of what people want to happen as they die and measures choosing whom to allow as visitors funeral arrangements
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Living will
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Document that indicates what medical intervention an individual prefers
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Health care proxy
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Person chosen by another person to make medical decisions if the second person becomes unable